Individual provider Active NPI

Adina M Blum, O.D.

  • Optometrist
  • Royal Oak, MI
National Provider Identifier
1609823996
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004882 Issued in MI
Practice address
32987 Woodward Ave
Royal Oak, MI 48073-0958
Phone
(248) 549-9080
NPI assigned
May 30, 2006
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004882 MI Primary

Addresses

Primary practice location

32987 Woodward Ave
Royal Oak, MI 48073-0958

Mailing address

32987 Woodward Ave
Royal Oak, MI 48073-0958
Phone (248) 549-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151124001239 MI Practitioner - Optometry 6406850718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

30981 Five Mile Rd
Livonia, MI 48154-3641
Phone (734) 522-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4901004882MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortney Eyecare Associates Inc Optometrist CurrentSince Sep 26, 2015 Accepting new patients
West Point Optical Group Optometrist CurrentSince Aug 28, 2022 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Dr. Adina M. Blum & Associates Optometrist PastSince Apr 12, 2010 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Dr. George D. Poulos & Associates, Inc. Optometrist Past Accepting new patients

Locations

23469 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-5600

26140 Ingersol Dr
Novi, MI 48375
Phone (248) 348-2900

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1609823996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32987 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730958",
            "telephone_number": "248-549-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32987 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730958",
            "telephone_number": "248-549-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "ADINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-02-15",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.